AnswerQuestion The Catalyst Center is funded by the Division of Services for Children with Special Health Needs, Maternal & Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, under cooperative agreement #U41MC Marie Mann, MD, MPH, FAAP, MCHB/HRSA Project Officer. Intro to Health Insurance & the ACA: An interactive learning session for youth/young adults

AnswerQuestion A bit about the Catalyst Center… We focus on ideas that help cover more kids

VocabACA Private Health Insurance SSI Resources Final Question Final Question Game Show

Game Show Directions (1) View as a slideshow, starting on the first slide. (2) Click on the question value ( ). (3) Click the slide to view the question. Click again to view the answer. (4) Use the home button after each question. Keep a record (on your own) of the scores of both teams and which questions have been asked. ©Norman Herr, 2003

AnswerQuestion What you pay for a top-of-the-line item. A Premium

AnswerQuestion A term for an expense that is excluded from what your health plan covers. Deductible

AnswerQuestion What you are doing if you and another person share the cost of an item. Co-pay

AnswerQuestion The percent of the costs your health plan has you pay for covered services. Co-Insurance

AnswerQuestion A person to whom you are attracted and a banana – both have this. Appeal

AnswerQuestion The difference between the Affordable Care Act and Obamacare. Nothing

AnswerQuestion True or False: Since September 2010, health insurers can not deny insurance to children, younger than 19 years old, with pre-existing conditions. Answer:

AnswerQuestion True or False: Since September 2010, the ACA allows parents to keep their young adult children on their health insurance to age 26. Answer:

AnswerQuestion True or False: Private health plans can limit the lifetime amount of dollar benefits they provide. Answer:

AnswerQuestion Question: An on line marketplace where U.S. citizens with income between 100% and 400% FPL, and no other access to insurance can compare and get financial assistance to purchase health insurance, OR What you do when you return a gift for something you like better. Answer: Exchange

AnswerQuestion True or False: Private health plans will pay for any health provider and any treatment option you want. Answer:

AnswerQuestion Health plans that existed before March 23, 2010 when the ACA was signed and that have not changed, OR A common name for your mother’s father. Answer: Grandfather

AnswerQuestion Answer: Read your service benefit plan or talk to HR Human Resources) where you work. Question? How do I find out about the health services and covered benefits offered by my health insurance plan?

AnswerQuestion Answer: Work with your health provider to document the medical necessity and file an appeal. Question? What if my health plan doesn't want to cover the treatment or products I want to use?

AnswerQuestion Question: What are my options for health insurance if I lose my job? Answer COBRA, Medicaid, HCBS Waivers, Parent’s Health Plan, Marketplace/Exchange Plan

AnswerQuestion True or False: Everyone with special health care needs, disabilities, or chronic illnesses gets SSI (Supplemental Security Income). Answer:

AnswerQuestion True or False: If you are eligible for SSI you automatically receive Medicaid? Answer:

AnswerQuestion True or False: The disability determination process and clinical criteria for Supplemental Security Income (SSI) are different for children and adults. Answer:

AnswerQuestion What a quarterback does to advance the ball OR The name of the Social Security program that helps individuals with disabilities get the education, job skills, or other training they need to get a job that interests them. Answer: PASS – Plan for Achieving Self-Support

AnswerQuestion True or False: You can work and remain eligible for SSI. Answer: Yes Ticket to Work

AnswerQuestion What a GPS (global positioning system) helps you do. Navigate the Road Navigating the Road to Work

AnswerQuestion How do you feel when you are smiling? GLADD Give ♦ Listen ♦ Ask ♦ Decide ♦ Do A series of videos and other information for young adults about communicating with health professionals.

AnswerQuestion A group of youth who are: 1)Less than 30 years old, and 2)Feel like nothing bad can happen to them Could be described as? Young Invincibles A national organization, representing the interests of 18 to 34 year-olds that works to ensure their perspective is heard wherever decisions about their collective future are being made. They research and analyze policy, Share stories, design educational campaigns, and mobile their generation to change the status quo. Getting Covered tool kit at

AnswerQuestion What you’ve ‘got’ when you have the information you need to switch from pediatric to adult systems of care? Got Transition? A national resource center that supports youth and young adults with special health care needs and their families around issues of health care transition, guardianship, self-determination, and more.

AnswerQuestion A state-based, family-run center that helps youth and young adults with special health needs and families raising children with special health needs learn about health care services and supports, and the state’s public benefits programs. The Family-to-Family Health Information Centers Find the Center in your state

AnswerQuestion Question: What’s the national center that works to improve health care financing for children and youth with special health care needs? Answer: The Catalyst Center